| Name: | Preferred Health Holdings II, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 25 Jul 2002 (23 years ago) |
| Date of dissolution: | 20 Dec 2016 |
| Entity Number: | 000-683-645 |
| Register Number: | 000683645 |
| ZIP code: | 35960 |
| County: | Cherokee |
| Place of Formation: | Cherokee County |
| Registered Office Street Address: | 230 WEST MAIN STCENTRE, AL 35960 |
| Principal Address: | CENTRE, AL |
Activities
NURSING HOME/REHABILITATION FACILITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386631968 | 2005-09-29 | 2010-08-12 | 201 OAK HILL RD, JASPER, AL, 355017496, US | 201 OAK HILL RD, JASPER, AL, 355017496, US | |||||||||||||||||||||||
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| Phone | +1 205-221-4862 |
Authorized person
| Name | KATHY SMOTHERS |
| Role | ADMINISTRATOR |
| Phone | 2052214862 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 10670 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4755010S |
| State | AL |
| Name | Role | Address |
|---|---|---|
| WALKER, JAMES P JR | Agent | 230 WEST MAIN STREETCENTRE, AL 35960 |
| Name | Role | Address |
|---|---|---|
| CULBERSON, JERRY | Member | No data |
| WALKER, JAMES P JR | Member | 230 WEST MAIN STREETCENTRE, AL 35960 |
| WARD, MICHAEL | Member | 6801 JEN RENEE LANEEL PASO, TX 79932 |
| KEENER, SANDRA | Member | No data |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
